| NPI | 1982378279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMADA MACDONALD Chief Executive Officer 833-283-5377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2022-07-28 |